Individual
DARRYL R. STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 E SHERMAN BLVD, MERCY GENERAL HEALTH PARTNERS - RADIOLOGY DEPT., MUSKEGON, MI 49444-1849
(231) 739-9341
Mailing address
950 TAYLOR AVE STE 140, LAKESHORE IMAGING CONSULTANTS, PLC, GRAND HAVEN, MI 49417-2281
(231) 725-8119
(616) 846-1222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2747686
—
MI
01
—
DS006137
LICENSE
MI
Enumeration date
07/13/2006
Last updated
07/08/2007
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